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多发性硬化症中的再髓鞘化,及其免疫学以及与肠道菌群失调、生活方式和环境因素的关联。

Remyelination in multiple sclerosis, along with its immunology and association with gut dysbiosis, lifestyle, and environmental factors.

作者信息

Prajjwal Priyadarshi, Inban Pugazhendi, Natarajan Balaganesh, Gadam Srikanth, Marsool Mohammed D M, Tariq Halla, Paras Paras, Vora Neel, Al-Aish Sandra T, Marsool Ali D M, Amir Hussin Omniat

机构信息

Bharati Vidyapeeth University Medical College, Pune.

Government Medical College Omandurar, Chennai, Tamil Nadu.

出版信息

Ann Med Surg (Lond). 2023 Jul 31;85(9):4417-4424. doi: 10.1097/MS9.0000000000001127. eCollection 2023 Sep.

Abstract

Multiple sclerosis (MS) is a chronic inflammatory disease that damages the myelin sheath around the axons of the central nervous system. While there are periods of inflammation and remyelination in MS, the latter can sometimes be insufficient and lead to the formation of lesions in the brain and spinal cord. Environmental factors such as vitamin D deficiency, viral or bacterial infections, tobacco smoking, and anxiety have been shown to play a role in the development of MS. Dysbiosis, where the composition of the microbiome changes, may also be involved in the pathogenesis of MS by affecting the gut's microbial population and negatively impacting the integrity of the epithelia. While the cause of MS remains unknown, genetic susceptibility, and immunological dysregulation are believed to play a key role in the development of the disease. Further research is needed to fully understand the complex interplay between genetic, environmental, and microbial factors in the pathogenesis of MS.

摘要

多发性硬化症(MS)是一种慢性炎症性疾病,会损害中枢神经系统轴突周围的髓鞘。虽然MS存在炎症期和髓鞘再生期,但后者有时可能不足,导致脑和脊髓中形成病变。维生素D缺乏、病毒或细菌感染、吸烟和焦虑等环境因素已被证明在MS的发展中起作用。微生物群组成发生变化的生态失调,也可能通过影响肠道微生物群并对上皮细胞的完整性产生负面影响,而参与MS的发病机制。虽然MS的病因尚不清楚,但遗传易感性和免疫失调被认为在该疾病的发展中起关键作用。需要进一步研究以充分了解遗传、环境和微生物因素在MS发病机制中的复杂相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d1/10473370/7b8a3cf6ddcc/ms9-85-4417-g001.jpg

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